Individual
PETER J KOUVELIOTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W MAIN ST, MEDICAL ARTS BUILDING, FREEHOLD, NJ 07728-2537
(732) 462-3302
(732) 780-6213
Mailing address
1001 W MAIN ST, FREEHOLD, NJ 07728-2579
(732) 462-3302
(732) 780-6213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07205100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8571708
—
NJ
Enumeration date
07/24/2006
Last updated
12/03/2008
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